Hospital

NEW JERSEY ADMINISTRATIVE CODE TITLE 8. DEPARTMENT OF HEALTH AND SENIOR SERVICES CHAPTER 43G. HOSPITAL LICENSING STANDARDS SUBCHAPTER 32. SAME-DAY STAY; SUBCHAPTER 34. SURGERY; SUBCHAPTER 7. CARDIAC; 8:43G-32.3 Same-day surgery services policies and procedures (c) A registered professional nurse shall be assigned to circulating nurse duties in each room where same-day surgery is being performed. 8:43G-34.5 Surgery staff time and availability (a) A registered professional nurse shall be assigned to circulating nurse duties in each room where surgery is being performed. 8:43G-7.16 Cardiac catheterization staff time and availability (a) The following staff shall be present for all cardiac catheterization procedures: 2. A registered professional nurse, trained and experienced in assisting in cardiac catheterization procedures, who acts as the circulating nurse; and 8:43G-7.30 PTCA staff time and availability (a) The following staff shall be present for all PTCA procedures: 2. A registered professional nurse certified in basic cardiac life support, and trained and experienced in cardiac catheterization and PTCA who acts as the circulating nurse; and…

ASC

NEW JERSEY ADMINISTRATIVE CODE ITLE 8. DEPARTMENT OF HEALTH AND SENIOR SERVICES CHAPTER 43A. MANUAL OF STANDARDS FOR LICENSING OF AMBULATORY CARE FACILITIES SUBCHAPTER 12. SURGICAL AND ANESTHESIA SERVICES 8:43A-12.6 Surgical policies and procedures (a) The facility shall develop and implement written bylaws, rules, regulations, policies, and procedures for surgical and anesthesia services, in accordance with the governing authority and medical staff bylaws. The policies and procedures shall be reviewed at least every three years and revised as needed, and shall include at least the following: 6. A registered professional nurse shall be assigned to circulating nurse duties in each room where surgery is being performed;

» Registered Nurse First Assistants (RNFAs)

Reimbursement: None

Definition: New Jersey Administrative Code - TITLE 13. LAW AND PUBLIC SAFETY. CHAPTER 35. BOARD OF MEDICAL EXAMINERS. SUBCHAPTER 4. SURGERY. 13:35-4.1 Major surgery; qualified first assistant. (b) A major surgical procedure shall be performed by a duly qualified surgeon with a duly qualified assisting physician who may be a duly qualified resident in or rotating through a training program approved by the Accreditation Council on Graduate Medical Education or the American Osteopathic Association. (c) In addition to those individuals listed in (b) above who may act as qualified first assistants, in a health care facility licensed by the Department of Health and Senior Services, a duly qualified registered nurse first assistant (RNFA), a duly qualified physician assistant or a licensed podiatric physician may so act.

Scope: New Jersey Administrative Code, Title 13- Law and Public Safety, Chapter 45 – Board of Medical Examiners, Subchapter 4 – Surgery. 13:35-4.1 Major surgery; qualified first assistant (b) A major surgical procedure shall be performed by a duly qualified surgeon with a duly qualified assisting physician who may be a duly qualified resident in or rotating through a training program approved by the Accreditation Council on Graduate Medical Education or the American Osteopathic Association. (c) In addition to those individuals listed in (b) above who may act as qualified first assistants, in a health care facility licensed by the Department of Health and Senior Services, a duly qualified registered nurse first assistant (RNFA), a duly qualified physician assistant or a licensed podiatric physician may so act. A duly qualified certified nurse midwife (CNM) may also act as a qualified first assistant in the performance of cesarean sections. For purposes of this subsection, a licensed CNM shall be deemed to be "duly qualified" provided that the CNM has taken and passed a 30-hour didactic training course that includes anatomy, physiology, surgical technique (including wound closure), and direct observation of cesarean sections. Following the completion of the course, a CNM shall serve and be supervised as a second assistant on 10 cesarean sections and complete a supervised preceptorship as a first assistant in 20 cesarean sections. (d) A duly qualified surgeon, duly qualified assistant physician, duly qualified resident, duly qualified registered nurse first assistant, duly qualified physician assistant, or duly qualified certified nurse midwife (CNM) shall be determined by the hospital credentials committee in conjunction with the chairman or chief of the appropriate committee in conjunction with the chairman or chief of the appropriate department or division consistent with the requirements of law or applicable rule.